Which of the following is not an allowable exclusion for long-term care insurance policies?
Asked by: Pascale Romaguera | Last update: July 24, 2025Score: 4.9/5 (50 votes)
Which of the following is not an allowable exclusion for long-term care insurance?
The correct answer is: b. Acute care Explanation: 1. Acute care is not an allowable exclusion for long-term insurance policies. Acute care refers to the treatment of short-term illnesses or injuries that require immediate medical attention and are typically covered by health insurance policies.
Which of the following is excluded in a long-term care insurance policy?
Many long-term care policies exclude coverage for the following: Mental and nervous disorders or diseases (except organic brain disorders) Alcoholism and drug addiction.
Which of the following is not covered under a long term policy?
The correct answer is option A. Acute care in a hospital is not typically covered under a long-term care policy. Long-term care policies are designed to provide coverage for individuals who require assistance with daily activities and prolonged care due to chronic illnesses, disabilities, or cognitive impairments.
Which of the following types of care is typically not covered in long-term care policy?
Final answer: Acupuncture is typically not covered in Long-Term Care policies, while services like skilled care, home health care, and custodial care are covered to meet the needs of senior citizens.
Long Term Care On The Insurance Exam
What are common exclusions found in LTC policies?
- Mental illness, however, the policy may NOT exclude or limit benefits for Alzheimer's Disease, senile dementia, or demonstrable organic brain disease.
- Intentionally self-inflicted injuries.
- Alcoholism and drug addiction.
What does long-term care not cover?
Long-term care insurance typically doesn't cover care provided by family members. It also usually doesn't cover medical care costs—those are typically covered by private health insurance and/or Medicare.
Which benefit would be typically excluded under a long term care policy quizlet?
Under a Long Term Care policy, which benefit would be typically excluded or limited? Addictive behavior rehabilitation is normally excluded or limited under a Long Term Care policy.
What all are not covered in term insurance?
Term insurance does not cover deaths within the suicide clause period and those resulting from non-disclosure of material information, engaging in hazardous activities, or criminal acts by the insured. Term insurance is an excellent way to ensure the financial well-being of your loved ones in case of any eventuality.
Which of the following is not part of an insurance policy?
Final answer:
Among the provided options, the Certificate of Authority is not a part of an insurance contract. It refers to a document given to an insurance company to permit them to operate within a specific state. The Application, Policy, and Riders however, are all integral parts of an insurance contract.
Which of the following is not an exclusion normally found in a health policy?
Old age is not a standard exclusion in a health policy.
What are exclusions in term insurance?
Understanding the inclusion and exclusion clauses in term insurance is crucial for anyone purchasing a policy in India. Inclusions are the events or circumstances under which the policy will pay out, while exclusions are those under which the policy will not pay out.
What is a non qualified long-term care policy?
HIPAA requires LTC insurance policies comply with its guidelines to be considered “qualified” LTC insurance. As such, qualified LTC insurance policies are generally regulated as accident and health. Policies that do not meet these requirements are considered to be non-qualified LTC insurance policies.
What is the exclusion period for long-term care?
Most long-term care insurance policies have an elimination period that lasts 30, 60 or 90 days. By choosing a longer elimination period, you may be able to lower your premium costs. Some of today's long-term care insurance policies also come bundled with life insurance coverage (or an annuity).
Which of the following is an exclusion under a health insurance policy?
Some examples of often-excluded services include cosmetic surgery, vasectomies, weight-loss drugs and bariatric surgery, abortion, acupuncture, dental care on a health insurance policy, etc.
What does no long-term care policy may exclude?
A long-term care insurance policy or certificate, other than a policy or certificate that is issued to a group, may not exclude coverage for a loss or confinement that is the result of a preexisting condition unless the loss or confinement begins within six months following the effective date of coverage of an insured ...
Which of the following are not covered by long-term care insurance?
Terminal illness
Long-term care insurance isn't designed to cover the extensive medical care often associated with a terminal illness. It's also not intended to pay for end-of-life care (e.g., hospice care), which is often covered by Medicare, Medicaid, and private health insurance plans.
What is excluded from coverage?
An exclusion is an event (peril, accident, incident, or accusation) that an insurance policy will not cover. A standard insurance policy will typically include some exclusions.
What is covered under a long-term policy?
Long-term care insurance policies reimburse policyholders a daily amount (up to a pre-selected limit) for services to assist them with activities of daily living such as bathing, dressing, or eating. You can select a range of care options and benefits that allow you to get the services you need, where you need them.
What are the common universal exclusions in a long term care policy?
Pre-existing conditions: Insurance companies often review an applicant's medical history to assess their risk. For example, if you have certain pre-existing conditions, such as Alzheimer's disease, Parkinson's disease or certain forms of cancer, the insurer may decline or exclude coverage for those conditions.
What are exclusions in health care policies?
Limitations are conditions or procedures covered under a policy but at a benefit level lower than the norm. Exclusions, on the other hand, are conditions or procedures that are completely omitted from coverage.
What is not an advantage of long-term care policies?
One of the biggest drawbacks of getting long-term care insurance is the risk of losing all the premiums you have paid over the years. If you end up not needing long-term care services, you won't be eligible for coverage. This means the money you've spent for coverage goes down the drain.
What are the three main types of long-term care insurance policies?
- Standalone (traditional) long-term care insurance.
- Long-term care insurance rider.
- Linked-benefit long-term care insurance.
When can a long-term care policy deny a claim?
Long term care insurance claims are exacting and demanding. Claims will be denied if the type of care doesn't match the policy's definition of covered care. AND Claims are regularly denied if your medical paperwork doesn't match the specific policy triggers in your policy.
Which of the following statements about long-term care is true?
Final answer:
The true statement about longterm care is that most conditions in longterm care facilities are chronic. Longterm care can take place in various settings, including in-home care, but is not exclusively home-based.